A nurse is providing teaching to a client who has come to the
family planning clinic requesting an intrauterine device
(IUD). Which of the following information should the nurse
provide the client?
"Your risk for ect
...
A nurse is providing teaching to a client who has come to the
family planning clinic requesting an intrauterine device
(IUD). Which of the following information should the nurse
provide the client?
"Your risk for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and
persistent otitis media. When obtaining the child’s history
from her parent, which of the following questions should the
nurse ask?
"Does anyone smoke around or in the same house as your child?"
A nurse is teaching the parent of a child who has severe
reactive airway disease about glucocorticoid therapy. The
parent asks why her child has to inhale the medication
instead of taking it orally. Which of the following
information should the nurse provide the parent?
Oral glucocorticoids are more likely to slow linear growth in children.
A nurse is providing teaching to a client who has a new
prescription for sertraline. The client asks the nurse if he
should continue to take St. John’s wort for depression.
Which of the following instructions should the nurse give the
client?
Stop taking the herbal supplement while taking the medication.
A nurse is caring for a client who is receiving bleomycin IVto treat lymphoma. Which of the following assessments is the
nurse’s priority?
Pulmonary function
A nurse is teaching a client how to use an albuterol metered
dose inhaler. After removing the cap from the inhaler and
shaking the canister, identify the sequence of instructions the
nurse should give the client. (Move the steps into the box on
the right, placing them in the selected order of performance.
Use all the steps.)
1-2 inches, tilt head, depress, hold berath
A nurse is reviewing the laboratory report for a client who
has chronic kidney disease (CKD). The nurse finds the the
following laboratory test results: potassium 6.8 mEq/L,
calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8
mg/dL. Which of the following findings is the priority for the
nurse to report to the provider?
Hyperkalemia
A nurse is facilitating a group discussion with preschool
teachers about child abuse. Which of the following data
should the nurse use as a common example of a suggestive
finding?
Arm cast for a spiral fracture of the forearm
Due to staffing shortages, a nurse manager floats a medicalsurgical nurse to the pediatric unit. The nurse has limited
experience with children. Which of the following actions
should the nurse manager take?
Assign a unit nurse to act as a resource for the medical-surgical nurse.
A nurse is developing a plan of care for a client who has
gastroesophageal reflux disease (GERD). The nurse should
plan to monitor the client for which of the following
complications?Aspiration
A client at a routine prenatal care visit asks the nurse if it is
common to develop vaginal yeast infections during
pregnancy. Which of the following responses should the
nurse make?
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections
more common."
A community health nurse is performing client triage while
participating in a disaster drill. The nurse should
recommend that which of the following clients receives
treatment first?
Hemothorax
A nurse isproviding teaching to a school-age child who has
just had a fiberglass cast application following a lowerextremity fracture. Which of the following instructions
should the nurse give the child and his parents about care
during the first 48 hr?
"Keep the cast above the level of your heart."
A nurse is assessing a toddler who has AIDS. The nurse
should identify which of the following findings as an
indication of an opportunistic infection?Candidiasis
A nurse is assessing a client who has an abdominal aortic
aneurysm (AAA). Which of the following findings should
indicate to the nurse that the AAA is expanding?
Report of sudden, severe back pain
A nurse is providing discharge teaching to a client who does
not speak the same language as the nurse. The client’s
neighbor, who speaks the client’s native language and the
nurse’s, arrives to drive the client home. Which of the
following actions should the nurse take?
Obtain the services of an interpreter
A nurse is caring for a client who is receiving IV ampicillin
and develops urticaria and dyspnea. Which of the following
actions should the nurse take first?
Stop the medication infusion.
A nurse on a pediatric unit is planning care for a preschooler
who will be having a surgical procedure in the morning. The
child has been crying despite his parent’s presence at his
bedside. The nurse should add engaging the child in
therapeutic play to the care plan because it offers which of
the following benefits?
Allows the child to manipulate toy medical equipmentA nurse on a mental health unit is caring for a client who has
depression. Which of the following actions should the nurse
take to foster a therapeutic environment for this client?
Build trust with the client by sitting quietly with him.
A nurse is assessing a client who is receiving clozapine to
treat schizophrenia. The nurse should identify an increase in
which of the following parameters as an early indication of
an adverse effect of this medication?
Temperature
A nurse is planning care for a client who is postoperative
following a hip arthroplasty. In the client’s medical record,
the nurse notes a history of chronic obstructive pulmonary
disease (COPD). Which of the following oxygen-delivery
methods should the nurse plan to use for this client?
A nasal cannula
A nurse is caring for a client who has dehydration and has
developed hypovolemic shock. Which of the following
laboratory values should the nurse expect for this client?
Hct 55%
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential
client information. Which of the following environments
should the nurse manager identify as an acceptable area for
discussing clients' information?
Areas with no public accessA nurse is providing preoperative teaching for a client who
will undergo laser-assisted in situ keratomileusis (LASIK)
surgery. Which of the following information should the
nurse include?
"You might need glasses after the surgery."
A nurse is monitoring the electrocardiogram of a client who
has hypocalcemia. Which of the following findings should
the nurse expect?
Prolonged Q-T intervals
A nurse is caring for a client who had a precipitous delivery.
The nurse should identify which of the following assessments
as the priority during the fourth stage of labor?
Palpating the client’s fundus
A hospice nurse is visiting with the family member of a
client. The family member states that the client has insomnia
almost nightly. Which of the following practices should the
nurse identify as contributing to the client's insomnia?
The client watches television in her bed during the day.
A nurse at a long-term care facility hears an assistive
personnel (AP) talking with an older adult client who has
dementia with periods of confusion. Which of the following
statements should indicate that the AP requires further
teaching?
"YIt's almost time for your appointment. Let me do your hair for you and brush your teeth."
A nurse in the labor and delivery suite is planning care for a
group of four clients. Which of the following clients should
the nurse see first?
A client who is in active labor and has late decelerations on the fetal heart monitor’s stripA nurse is teaching a client who has chronic kidney disease
about predialysis dietary recommendations. The nurse
should include information about restricting his intake of
which of the following nutrients?
Protein
A nurse participating in a community health fair is
providing information to a client who has a BP of 150/90
mmHg during a blood pressure screening. Which of the
following actions should the nurse take?
Give the client a written record of his BP to bring to their provider.
A nurse on an oncology unit receives report at the beginning
of her shift about four clients who are postoperative. Which
of the following clients should the nurse see first?
A client who is 2 days postoperative following a colectomy due to colorectal cancer and has an
ostomy bag full of bright red, bloody drainage.
A community health nurse is conducting a class about body
mechanics for county office workers. Which of the following
instructions should the nurse include? (Select all that apply.)
Sit, keep, use
A provider tells a client who reports practicing Hinduism
that at 12-weeks of gestation she needs more protein in her
diet and suggests eating more meat. After the provider leaves
the examination room, the client tells the nurse that eatinganimal products will cause her to m
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